Individual provider Active NPI

Kimberly Sims

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1952901340
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
122837 Issued in AR
Practice address
930 Wingate St Ste C2
Conway, AR 72034-4837
Phone
(501) 358-6522
Fax
(501) 426-8212
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 122837 AR Primary

Addresses

Primary practice location

930 Wingate St Ste C2
Conway, AR 72034-4837

Mailing address

PO Box 10147
Conway, AR 72034-0001
Phone (501) 358-6522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210708002920 AR Practitioner - Nurse Practitioner 0345642633 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
122837ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myhealth Village, PLLC Family CurrentSince Sep 9, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 7, 2023 Accepting new patients

Locations

930 Wingate St
Ste C2
Conway, AR 72034
Phone (501) 358-6522

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1952901340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10147",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340001",
            "telephone_number": "501-358-6522",
            "fax_number": "501-426-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WINGATE ST STE C2",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344837",
            "telephone_number": "501-358-6522",
            "fax_number": "501-426-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "122837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.